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Contact Information

CHARLENE E REUST, PA
1084 NICKERSON ST
WAYNOKA, OK73860
 Phone: 580-824-2291
 Fax: 580-824-0429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLENE E REUST · (Female)

NPI Number 1588669428
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/16/2005
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1500390
  • OK License # 2549
  • KS Medicaid 100287510D
  • KS Medicaid 100287510F
  • KS Other 426724 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • INTEGRIS BASS BAPTIST HEALTH CENTER - (Acute Care)
    600 SOUTH MONROE
    ENID, OK 73701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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